Date of Doctor of Nursing Practice Project Completion
Spring 4-2024
Faculty Advisor
Dr. Linda Cole
Abstract
Background: Members of the Hispanic population have a 50% or higher chance of developing diabetes and often do so at a younger age than other adults in the United States (CDC, 2022a). Diabetes complications also impact the Hispanic population harder, with higher rates of kidney failure caused by diabetes, along with diabetes-related vision loss and blindness (CDC, 2022a). DSMES programs have shown significant improvements in A1C and blood sugar control in different settings (Powers et al., 2020). However, it has not been implemented in many primary care settings.
Purpose: The purpose of this project was to implement and evaluate a diabetes self-management education and support (DSMES) program in a primary care setting using a team-based approach that included medical assistants and primary care providers (physicians and NPs) who care for Hispanic patients with uncontrolled hemoglobin A1C (AIC). The PICOT question was in Hispanic adults with type 2 diabetes, does a DSMES program versus usual care reduce A1C levels three months after implementation?
Methods: The program included training the providers on using culturally tailored and patient-centered shared decision-making approaches, as well as providing educational materials in Spanish. A Plan-Do-Study-Act (PDSA) quality improvement methodology was used to implement changes to the program.
Results: Twenty-eight of the thirty participants completed three months of follow-up. There was a 0.57 percent decrease in A1C and an over 2-point increase in self-efficacy level in each question of the 4-item questionnaire in the post-implementation result.
Conclusion: A team-based, shared decision-making approach demonstrated improvement in A1C and self-efficacy levels in Hispanic patients with uncontrolled diabetes, and adoption would be beneficial.
Keywords
Diabetes, DSMES, Hispanic, share decision making, self-efficacy, A1C, culturally tailored, Spanish
Recommended Citation
Gyawali Sedai, Gita, "Reducing Hemoglobin A1C Using Diabetes Self-Management Education and Support (Dsmes) for Hispanic Adults in a Primary Care Setting" (2024). Doctor of Nursing Practice Final Project Abstract. 10.
https://digitalcommons.library.tmc.edu/dnp_abstract/10